<div id="page-wrapper">
  <div class="row">
    <div class="col-sm-6">
      <div class="panel panel-default">
        <div class="panel-heading"><span class="judul-page">Detail Tagihan</span></div>
        <div class="panel-body">
          <form class="form-horizontal" role="form" method="post" action="<?php echo site_url('member/proses_update')?>" enctype="multipart/form-data">
            <div class="row">
              <label class="col-sm-3">Nama</label>
              <div class="col-sm-9"><?php echo $hasil->nama_lengkap; ?></div>
            </div>
            <div class="row">
              <label class="col-sm-3">Email</label>
              <div class="col-sm-9"><?php echo $hasil->email; ?></div>
            </div>
            <div class="row">
              <label class="col-sm-3">Telepon</label>
              <div class="col-sm-9"><?php echo format_telepon($hasil->telp); ?></div>
            </div>
            <div class="row">
              <label class="col-sm-3">Tagihan</label>
              <div class="col-sm-9"><?php echo "<b>".format_angka($hasil->tagihan)."</b>"; ?></div>
            </div>
            <br>
            <div class="form-group">
              <label class="col-sm-3">Tanggal Bayar</label>
              <div class="col-sm-6">
                <input type="text" name="tanggal" value="<?php echo date("d/m/Y"); ?>" class="form-control input-sm tanggal">
                <input type="hidden" name="id" value="<?php echo $hasil->id_member; ?>">
              </div>
            </div>
            <div class="form-group">
              <label class="col-sm-3">Status</label>
              <div class="col-sm-6">
                <select name="status" class="form-control input-sm">
                  <option value="0" selected>Belum Lunas</option>
                  <option value="1">Lunas</option>
                </select>
              </div>
            </div>
            <div class="form-group">
              <div class="col-sm-offset-3 col-sm-6">
                <button type="submit" class="btn btn-primary btn-sm">Simpan</button>
              </div>
            </div>
          </form>
        </div>
      </div>
    </div>
    <div class="col-sm-4"></div>
  </div>
</div>